Phylogenetically, the branchial apparatus represents the “gills” seen in fish and amphibians.
The fetal branchial apparatus is a foregut derivative and develops in the 2nd fetal week.
...
Present since birth
Recurrent neck infections
Intermittent discharge from neck
Fever
Tenderness
Mass usually mobile
Usually a single lesion
Nonpulsatile
Lesion usually nontender ...
Excision of the entire lesion is the standard approach.
Novel endoscopic and marsupialization approaches...
Postoperative follow-up as outpatient for wound inspection
Observation for recurrence or reinfection
Lesion may recur if not completely excised.
High incidence ...
Acierno SP, Waldhausen JH. Congenital cervical cysts, sinuses and fistulae. Otolaryngol Clin North Am. 2007;40(1):161–176. [View Abstract on OvidInsights]
Adams A, Mankad K, Of...
744.49 Other branchial cleft cyst or fistula; preauricular sinus
744.41 Branchial cleft sinus or fistula
744.42 Branchial cleft cyst
Q18.2 Other branchial cleft malformations
Q18.0 Sinus, f...
Q: Can the cyst, fistula, or sinus recur?
A: Only a 3% recurrence rate is seen if the lesion is completely excised. A higher rate of recurrence is seen in cases of incomplete excision or with previ...
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Figure 8.55. Possible locations of branchial sinuses and cysts. Branchial (cleft) cysts usually develop along the inferior part of the lateral border of the sternocleidomastoid (SCM).
Figure 8.55. Possible locations of branchial sinuses and cysts. Branchial (cleft) cysts usually develop along the inferior part of the lat...
Figure 8.54. Branchial (cleft) cyst. A 27-year-old woman with a cervical swelling inferior to the angle of her left mandible (lower jaw) and anterior to her sternocleidomastoid (SCM) muscle.
Figure 8.54. Branchial (cleft) cyst. A 27-year-old woman with a cervical swelling inferior to the angle of her left mandible (lower jaw) an...
<bold>Figure 15-8</bold> First branchial cleft sinus. While not a true a preauricular sinus, this lesion must be considered in the differential diagnosis. (Courtesy of David Tunkel, MD.)
<bold>Figure 15-8</bold> First branchial cleft sinus. While not a true a preauricular sinus, this lesion must be considered in...
<bold>Figure 27-1</bold> Branchial cleft cyst. Draining branchial cleft sinus. (Courtesy of Paul S. Matz, MD.)